Provider First Line Business Practice Location Address:
CREIGHTON NEBRASKA
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY 985582
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68198-5582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-552-6244
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2010